Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY TENITA CLARK, CNP
ActiveKIMBERLY TENITA CLARK, CNP is a Nurse Practitioner healthcare provider located in BEREA, Ohio. NPI 1578752267 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BEREA, OH
Registration Details
- NPI Number
- 1578752267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2007 (18.850970847936 yrs)
- Last Updated
- Oct 3, 2016
- Licenses
-
304700 (OH)A0812095 (OH)COA.14022 (OH)APRN.CNP.14022 (OH)
Practice Information
- Address
-
202 E BAGLEY RDBEREA, OH, 440172058Browse OH providers · Browse ZIP 44017
- Phone
- 4402608327
- Fax
- 4402608305
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in BEREA, OH
| Name | Credential | NPI |
|---|---|---|
| AMANDA CAFARELLI DE LEON | — | 1134516115 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.